Individual
WHITNEY CONDRA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 E 15TH ST, STE 104, AUSTIN, TX 78701-1930
(512) 324-7246
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
(512) 324-8962
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M1179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177544704
—
TX
Enumeration date
12/15/2006
Last updated
01/10/2013
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